Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review

Figure 4 A practical algorithm for diagnosis and management to treat cholelithiasis and choledocholithiasis in situs inversus patients. ¹Laparoscopic cholecystectomy can be performed with four ports or a single port based on the surgeon’s discretion. LUQ: Left upper quadrant; PE: Physical examination; SI: Situs inversus; DDx: Differential diagnosis; LC: Laparoscopic cholecystectomy; IOC: Intraoperative cholangiography; MRCP: Magnetic resonance cholangiopancreatography; PTGBD: Percutaneous transhepatic gallbladder drainage; PTCD: Percutaneous transhepatic cholangiography and drainage; CBD: Common bile duct; LCBDE: Laparoscopic common bile duct exploration; ERCP: Endoscopic retrograde cholangiopancreatography; EST: Endoscopic sphincterotomy.